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Nil-by-mouth foodie: A chef who will never eat again

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Re: Nil-by-mouth foodie: A chef who will never eat again

#21

Post by Melting_Harps »

jka wrote: post #10
Melting_Harps wrote: post #5

Earlier quoted context omitted.

> Have you heard of... Vaguely from this [0], and I find rather it painfully ironic that one of the supporters (Bourdain) of that book died from suicide in what was likely ongoing depression and unresolved mental health isses that led to former bouts with substance abuse in addition to a horrible catastrophic relationship spat occurring in public. Personally speaking when I first read Kitchen Confidential when I was…

Thanks! My view has been fairly limited, from (rarely) cooking at home, and where 'locally sourced' tends to mean 'walking to the shops' instead of any kind of vendor relationships. What's the PPP challenge you mentioned, and (at the risk of sounding like I'm stealing your ideas; not my intent, I'd prefer to read and reflect them out here) what would you change about the industry culture if you could?

> at the risk of sounding like I'm stealing your ideas...

I'm also a former fintech founder, so I know that ideas are nothing without the execution to make them into reality. So don't feel bad about that, just keep me in mind for a consultant role later if you like what you hear. ;)

PPP (Paycheck Protection Program) [0] [1] [2] 1/2 is what was given to restaurants in the US during the shutdown due to COVID and the to support resteraunts now operating at 50% capacity; they have stipulations (most of it had to be paid as payroll) that many accountants have never encountered before and will likely require assistance to ensure they qualify for forgiveness. This could be enough of a MVP to make a suite of other tools, but that alone would be where I would start if it were me.

Unfortunately I don't have much experience in the culinary Industry in the UK (I did farm in Cornwall, though) as I never got to do my stage at The Savoy in London in 2014 which my ex-fiance setup (hostess) due to the massive floods and damage to the transportation system.

Sidenote: Bento and Bentocart are both YC backed startups that may have a position for you to integrate into if you're looking for a pre-existing project.

0: https://www.merchantmaverick.com/ppp-loan-forgiveness-rules/

1: https://www.merchantmaverick.com/ppp-restaurants/

2: https://www.restfinance.com/restaurant-finance-across-americ...

Re: Nil-by-mouth foodie: A chef who will never eat again

#22

Post by DanBC »

_cs2017_ wrote: post #6

On top of the tragic circumstances outside of anyone's control, it's mind-boggling how much unnecessary pain and suffering was caused by the medical system. Given that the UK is one of the better countries in medical care quality, why are things still so bad? I understand the disease is rare, but even if it's not diagnosed, surely there's a way to realize that they are just torturing the patient? Also: > On average i…

> Given that the UK is one of the better countries in medical care quality, why are things still so bad?

Some people have spoken about the GP missing EDS, and those are good points. There's a bit of work happening in England to improve rates of diagnosis for those patients.

I want to talk a bit about the MH aspect. There are four separate systems in the UK. Scotland, Northern Ireland, Wales, and England all have separate NHS systems. I'm only going to talk about the English system.

In England commissioning is split across clinical commissioning groups and NHS England. England has been split into geographical regions, and each region has a CCG. That CCG will commission the bulk of healthcare for their local population. This includes most, but not all, mental health care. Some conditions are rare and highly specialist, and so it doesn't make sense for those to be commissioned by CCGs. That commissioning ("specialist commissioning") is done by NHS England. This includes in-patient eating disorder treatment.

Commissioners don't have to buy services from NHS provider organisations. I think the current law even says that commissioners are not allowed to prefer one type of provider over another - they're not allowed to say they'd prefer to give the contract to an NHS provider over a private provider.

A lot of healthcare is paid for by the NHS, but provided by private providers. This is especially true when we look at specialist commissioning for mental health. There are a lot of low secure units, medium secure units, in-patient eating disorder units, etc that are provided by private companies.

The quality of care from these private orgs is often terrible.

The split between CCG commissioning and NHS England specialist commissioning means that it's very difficult to get the local system to understand or care about the poor quality of specialist commissioning.

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